Group Interventions for Abused, Suicidal Black Women

针对受虐待、有自杀倾向的黑人女性的团体干预

基本信息

批准号：
7372357
负责人：
NADINE Joy KASLOW
金额：
$ 28.17万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-19 至 2012-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7372357
关键词：
Accounting Address Adherence Advocacy African American Attention Battered Women Charge Class Classification Communication Communities Condition DSM-IV Diagnostic Diagnostic and Statistical Manual Disease Drops Effectiveness Effectiveness of Interventions Environment Environmental Risk Factor Equation Ethnic Origin Family Feedback Feeling hopeless Friends Gender Health system Hospitals Human Resources Hybrids Injury Intervention Intervention Studies Interview Left Life Linear Models Link Low income Manuals Measures Mediating Mediation Medical Mental Health Modeling Modification Outcome Participant Pathology Personal Satisfaction Phase Policies Population Populations at Risk Preventive Preventive Intervention Problem Solving Protocols documentation Public Health Race Randomized Randomized Controlled Trials Rate Recommendation Recording of previous events Relative (related person)Religion and Spirituality Reporting Research Resources Risk Risk Factor Services Risk Factors Sampling Secondary Prevention Self Efficacy Services Social Class Social Well-Being Social support Stress Structural Models Substance abuse problem Suicide Suicide attempt Suicide prevention Symptoms Time USA Georgia Visit Western Asia Georgia Woman base cohesion depressive symptoms design experience follow-up ideation improved innovation intervention program intimate partner violence men model design neglect optimism pediatric trauma prevent programs prospective psychoeducational intervention psychological distress relationship abuse response satisfaction self esteem social suicidal suicidal behavior suicidal women tau Proteins theories violent relationship

项目摘要

DESCRIPTION (provided by applicant): African American women's responses to intimate partner violence (IPV) and suicidality are influenced by cultural norms. This application compares a gender sensitive, culturally competent psychoeducational intervention (PEI) guided by the Theory of Triadic Influence (TTI) risk-protective model versus enhanced treatment as usual (ETAU) for reducing suicidal behavior, IPV, and associated risk factors and bolstering protective factors. The hybrid efficacy-effectiveness design uses a nonshelter sample, random assignment, and an intervention manual. Assessments informed by the TTI risk-protective framework focus on suicide and IPV-related outcome variables, risk and protective factors (intrapersonal, social/situation, culture/environment), and moderators of intervention response. The TTI-informed 10 session empowerment group (PEI) builds on our research and relevant intervention programs and the control condition is mental health treatment as usual plus an adherence enhancement protocol to facilitate treatment engagement (ETAU). Women are followed over time. The study is a prospective, RCT, using a 2X4 mixed-model design; the between-subjects variable is intervention condition (experimental (PEI), control (ETAU)) and the within-subjects variable is time (pre- intervention, post-intervention, 6 month follow-up, 1 year follow-up). The RCT follows the CONSORT recommendations. The sample consists of two groups of low-income, African American women in abusive relationships with a recent suicide attempt who seek services at Grady Health System: (a) women randomly assigned to PEI (experimental condition) (n = 95) and (b) women randomly assigned to ETAU (control condition) (n = 95). It is hypothesized that at post-intervention and follow-up, compared to women in the ETAU, women in the PEI will: (1) evidence more improvements in suicidal behavior and associated correlates (efficacy outcomes); (2) report greater reductions in IPV and greater improvements in associated correlates (efficacy outcomes); (3) evidence fewer risk factors (effectiveness outcomes); (4) evidence more protective factors (effectiveness outcomes); and (5) intrapersonal, social/situation, and cultural/environment variables will interact with intervention effects (moderators). Hierarchical linear modeling and structural equation modeling will be used to examine these predictions. Findings will guide our understanding of using interdisciplinary teams to target preventive interventions for IPV and suicide attempts in low-income, African American women, aid in disseminating the intervention, and inform State and national advocacy and policy efforts.

描述（由申请人提供）：非裔美国妇女对亲密伴侣暴力（IPV）和自杀的反应受到文化规范的影响。该应用比较了以三元影响理论 (TTI) 风险保护模型为指导的性别敏感、具有文化能力的心理教育干预 (PEI) 与常规强化治疗 (ETAU)，以减少自杀行为、IPV 和相关风险因素并加强保护因素。混合功效-效果设计使用非庇护样本、随机分配和干预手册。 TTI 风险保护框架提供的评估重点关注自杀和 IPV 相关的结果变量、风险和保护因素（个人、社会/情境、文化/环境）以及干预反应的调节因素。 TTI 告知的 10 次会议赋权小组 (PEI) 以我们的研究和相关干预计划为基础，控制条件是照常进行心理健康治疗，加上依从性增强方案以促进治疗参与 (ETAU)。随着时间的推移，女性会被跟踪。该研究是一项前瞻性 RCT，采用 2X4 混合模型设计；受试者间变量是干预条件（实验（PEI），对照（ETAU）），受试者内变量是时间（干预前，干预后，6个月随访，1年随访）。 RCT 遵循 CONSORT 建议。样本由两组低收入非裔美国女性组成，她们最近有过自杀企图，曾遭受虐待，她们在 Grady 卫生系统寻求服务：(a) 随机分配到 PEI（实验条件）的女性 (n = 95) 和 (b) ) 女性被随机分配到 ETAU（对照条件）(n = 95)。据推测，在干预后和随访中，与 ETAU 中的女性相比，PEI 中的女性将：(1) 自杀行为和相关相关因素（功效结果）有更多改善； (2) 报告 IPV 的更大减少和相关相关性（功效结果）的更大改善； (3) 证据表明风险因素较少（有效性结果）； (4) 证据更多的保护因素（有效性结果）； (5) 个人、社会/情境和文化/环境变量将与干预效果相互作用（调节因素）。将使用分层线性模型和结构方程模型来检验这些预测。研究结果将指导我们理解如何使用跨学科团队针对低收入非裔美国妇女的 IPV 和自杀未遂采取预防性干预措施，帮助传播干预措施，并为州和国家的宣传和政策工作提供信息。